Organization
ASPIRE HOME HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BLACKBURN (OWNER)
(419) 738-1176
Entity
Organization
Contact information
Practice address
306 REICHELDERFER RD, CRIDERSVILLE, OH 45806-2252
(419) 738-1176
(419) 738-1173
Mailing address
306 REICHELDERFER RD, CRIDERSVILLE, OH 45806-2252
(419) 738-1176
(419) 738-1173
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081047
—
OH
05
—
0104054
—
OH
01
—
0600844
DODD CONTRACT NUMBER
OH
01
—
354393621
PASSPORT SERVICES
OH
Enumeration date
02/21/2012
Last updated
11/28/2018
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